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Lakeside Healthcare at Stamford Good


Review carried out on 29 February 2020

During an annual regulatory review

We reviewed the information available to us about Lakeside Healthcare at Stamford on 29 February 2020. We did not find evidence of significant changes to the quality of service being provided since the last inspection. As a result, we decided not to inspect the surgery at this time. We will continue to monitor this information about this service throughout the year and may inspect the surgery when we see evidence of potential changes.

During an inspection looking at part of the service

We carried out an announced comprehensive inspection at Lakeside Healthcare in Stamford on 28 November 2018.

The overall rating was Good. Safe was rated as Requires Improvement. Effective, Caring, Responsive and Well-led as rated as Good. Population Groups were rated as Good.

The full comprehensive report for the November 2018 inspection can be found by selecting the ‘all reports’ link for Lakeside Healthcare at Stamford on the CQC website – .

This inspection was a focussed follow-up inspection which was completed as a desktop review carried out on 22 August 2019. It was undertaken to assess where the practice had improved in the key question of ‘Safe’ and made the recommended improvements identified during our previous inspection in November 2018. The report covers our findings to those requirements and additional improvements made since the last inspection.

The practice overall rating remains as Good. The practice is now rated as Good for providing Safe Services.

Our key findings were as follows:

  • Care and Treatment was provided in a safe way for service users.
  • Appropriate recruitments systems and processes were in place
  • The practice now had a clinical oversight model in place to ensure staff had the appropriate qualifications and skills to provide safe patient care.
  • Improvements to the security of the dispensary had been put in place.

The areas where the provider should make improvements are:

  • Have oversight of legionella water temperature monitoring carried out by external contractors at both sites and ensure actions are taken when required.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care

Inspection carried out on 28 November to 28 November 2018

During a routine inspection

We carried out an announced comprehensive inspection at Lakeside Healthcare Stamford on 28 November 2018 as part of our inspection programme. We inspected both sites at Sheepmarket Surgery and St Mary’s Medical Centre. Both sites had been inspected previously and had been rated good overall. We inspected St Marys Medical Centre as part of our inspection programme in June 2017. Sheepmarket Surgery was inspected in February 2015 and rated requires improvement overall. We carried out follow up inspections in April and September 2017 to check improvements had been made and as a result, the practice was rated as good overall.

We based our judgement of the quality of care at this service on a combination of:

  • what we found when we inspected
  • information from our ongoing monitoring of data about services
  • information from the provider, patients, the public and other organisations and
  • patient interviews with Healthwatch.

We have rated this practice as good overall and for all population groups.

We found that:

  • There was an effective system for high risk drug monitoring.
  • Performance data was in line with local and national averages.
  • We saw evidence of systems and processes for learning, continuous improvement and innovation.
  • Although the practice had clear processes for managing risks, these were not always followed through and actioned.
  • The practice provided care in a way that kept patients safe and protected them from avoidable harm.
  • Patients received effective care and treatment that met their needs and patients we spoke with told us they were treated with kindness and compassion.
  • We saw staff dealt with patients respectfully and involved them in decisions about their care.
  • The practice organised and delivered services to meet patients’ needs.
  • The way the practice was led and managed promoted the delivery of high-quality, person-centre care.

Whilst we found no breaches of regulations, the provider should:

  • Audit nurse prescribing and implement a system to provide oversight of nurses working in the same day clinics.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice